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Aetna...What did you do to get approved?



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Gigi

Thanks!!

This process is a bit more complicated as I am living in Australia, but dealing with US insurance as we are working over here. I saw surgeon the beginning of July and started the process, but went home on leave for 30 days so did not start seeing everyone else until I got home the end of Aug. I am having to gather all the paperwork and submit it, rather than a care coordinator as they have a totally different medical system over here than we do at home and do not deal with our insurance directly. Really do not want to mess up the chances I have for approval so trying to make sure I have everything in order. If I do 90 days from when I saw NUT that is the end of November, verses being able to submit in October.

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I have Aetna. I was denied due to a 3 pound weight gain. My problem is, I'm right at 35.1 BMI. I am not allowed to lose OR gain. I basically had to maintain. My denial is being reviewed. The Aetna medical director told my dr if I can lose ANYTHING within 4-6 weeks I would be reconsidered. That was 4 weeks ago. I lost the weight. I am on pins and needles waiting to hear back from them! My dr submitted the paperwork Thursday. I called Aetna Friday and I should know something Monday. I will be calling Aetna today (Monday) if I haven't heard from them. I'm so nervous I can't sleep!! ????????

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@@Doggirl79 I was actually denied because of weight gain also. I was also told if I lost the weight they would approve me but i still got denied again. Hopefully this doesn't happen to you and you get a quick approval. In the end I did get approved but had to go through an external review. Keep us updated. Good Luck!!

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I called today and I am approved! Yay!!! I don't have a surgery date as of yet. I need my pre op blood work and a couple other general tests. Will be calling tomorrow am to get that appointment. Aetna was pretty cooperative. It also helps that I bug them daily. Lol

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I called today and I am approved! Yay!!! I don't have a surgery date as of yet. I need my pre op blood work and a couple other general tests. Will be calling tomorrow am to get that appointment. Aetna was pretty cooperative. It also helps that I bug them daily. Lol

Congrats

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I called today and I am approved! Yay!!! I don't have a surgery date as of yet. I need my pre op blood work and a couple other general tests. Will be calling tomorrow am to get that appointment. Aetna was pretty cooperative. It also helps that I bug them daily. Lol

Congrats

Thank you!

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On 10/3/2014 at 11:38 AM, nbw1220 said:

Just had my info submitted monday! I had to do everything mentioned as well. 3 month supervised diet, met with NUT, psych, etc and had a bunch of tests done. Found out I had sleep apnea during testing. It's a lot of appointments.. But the time flew by fast! I lost a total of 25 lbs with the diet and exercise. ..Now I'm just waiting lol. I think this is the worst part!

Can someone help me out

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